Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole K Lazzaro, PA-C

Individual provider Physician Assistant · NPI 1851651889

Nicole K Lazzaro, PA-C is a Physician Assistant in Princeton, New Jersey. Qualified in 2007, 19 years ago. Practices with Dermatology and Skin Surgery Center of Princeton LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
19
Licensed in
NJ, NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8 Forrestal Rd S Ste 202
Princeton, NJ 08540-6658
Phone: (609) 799-6222
Fax: (609) 799-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00344000 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 014733-1 (NY)

Record details

NPI number1851651889
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 24, 2012
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Dermatology And Skin Surgery Center Of Princeton Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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